Now I would like to ask some questions about your children born in the last five years. (We will talk about each separately.)

403. BIRTH HISTORY NUMBER FROM 212 IN BIRTH HISTORY

501) CHECK COLUMN 11. RECORD THE LINE NUMBER AND AGE FOR ALL ELIGIBLE CHILDREN 0 TO 5 YEARS IN QUESTION 502. IF MORE THAN SIX CHILDREN, USE ADDITIONAL QUESTIONNAIRE(S). A FINAL OUTCOME MUST BE RECORDED FOR THE WEIGHT AND HEIGHT MEASUREMENT IN 508.

502) LINE NUMBER FORM COLUMN 11
NAME FROM COLUMN 2

36) LINE NUMBER FROM 8

36) LINE NUMBER FROM COLUMN 8

201) Check column 9 of the household questionnaire. Record the line number, name, and marital status for all women eligible for Q 202, 203, and 204. If more than 3 women, use additional questionnaire(s).

902. LINE NUMBER FROM QUESTION 212
[ONLY CHILDREN BORN SINCE 1991]

CHECK COLUMNS (8) AND (9): RECORD THE LINE NUMBER, NAME AND AGE OF ALL WOMEN AGE 15-49 AND ALL CHILDREN UNDER AGE 6.

1102) LINE NUMBER FROM QUESTION 212

902. LINE NUMBER FROM QUESTION 212
[ONLY CHILDREN BORN SINCE 1991]

* For fieldwork beginning in 1991, 1992, or 1993, the year should be changed to 1986, 1987, or 1988, respectively.

CHECK COLUMN 014 AND RECORD THE NAME(S), LINE NUMBER(S) AND AGE(S) OF ALL CHILDREN AGE 0-5 YEARS IN THE FIRST BLOCK BELOW.

THEN CHECK COLUMN 015 AND RECORD THE NAME(S), LINE NUMBER(S) AND AGE(S) OF ALL YOUTH AND ADOLESCENTS AGE 10-19 IN THE SECOND BLOCK BELOW.

CHECK COLUMN (8): RECORD THE LINE NUMBER, NAME AND AGE OF ALL WOMEN AGE 15-49 IN Q.36 TO Q.38 IN THE HEIGHT AND WEIGHT GRID FOR WOMEN BELOW. THEN CHECK COLUMN (9) AND RECORD THE LINE NUMBER,
NAME AND AGE OF ALL CHILDREN UNDER AGE 6 IN COLUMNS Q.44-Q.46 IN THE HEIGHT AND WEIGHT GRID FOR CHILDREN.

36) LINE NO. FROM COL (8)/(9)

IN 906 AND 908 RECORD HEIGHT AND WEIGHT OF THE RESPONDENT AND THE LIVING CHILDREN.

(NOTE: ALL RESPONDENTS WITH ONE OR MORE BIRTHS SINCE JANUARY 1993 SHOULD BE WEIGHED AND MEASURED EVEN IF ALL OF THE CHILDREN HAVE DIED. IF THERE ARE MORE THAN 3 LIVING CHILDREN SINCE JANUARY 1993, USE ADDITIONAL QUESTIONNAIRES).

CHECK COLUMNS (8) AND (9): RECORD THE LINE NUMBER, NAME AND AGE OF ALL WOMEN AGE 15-49 AND ALL CHILDREN UNDER AGE 6.

TREATMENT WITH ARTESUNATE-AMODIAGUINE (AA)

Weight (in kg) - Approximate age

? 4.5 kg to 9 kg (under 1 year)
> 9 kg - Less than 18 kg (age 1-5 years)

Dosage

1 tablet AS- AQ (25 mg/67.5 mg) daily for 3 days
1 tablet AS-AQ (50 mg/135 mg) daily for 3 days

Give the child one tablet each day for three consecutive days. Take the medicine with fatty food or drinks like milk or breast milk. For smaller children, put the tablet in a little water, mix water and tablet well, and give to the child. If your child vomits within an hour of taking the medicine, repeat the dose and get additional tablets.

ALSO TELL THE PARENT/OTHER ADULT: If (NAME OF CHILD) has any of the following symptoms, you should take him/her to a health professional for further assessment and treatment right away:

- A high temperature or fever
- Fast or difficulty breathing
- Not able to drink or breastfeed
- Gets sicker or does not get better in two days
(SKIP TO 130)

CHECK COLUMNS 8 AND 9 FROM HOUSEHOLD LISTING; RECORD THE LINE NUMBER, NAME, AND AGE OF ALL WOMEN AGE 15-49 AND ALL CHILDREN BORN IN 2000 OR LATER.

FOR WOMEN AGE 15-49:

36. LINE NUMBER (FROM COL. 8 OF HOUSEHOLD LISTING):

INTERVIEWER:
IN 802 (COLUMN 2-4) RECORD THE LINE NUMBER FOR EACH CHILD BORN SINCE JANUARY 1985* AND STILL ALIVE.
IN 803 AND 804 RECORD THE NAME AND BIRTH DATE FOR THE RESPONDENT AND FOR ALL LIVING CHILDREN BORN SINCE JANUARY 1985*.
IN 806 AND 808 RECORD HEIGHT AND WEIGHT OF THE RESPONDENT AND THE LIVING CHILDREN.
(NOTE: ALL RESPONDENTS WITH ONE OR MORE BIRTHS SINCE JANUARY 1985* SHOULD BE WEIGHED AND MEASURED EVEN OF ALL OF THE CHILDREN HAVE DIED. IF THERE ARE MORE THAN 3 LIVING CHILDREN BORN SINCE JANUARY 1985.)

* For fieldwork beginning in 1991, 1992, or 1993, the year should be changed to 1986, 1987, or 1988, respectively.

INTERVIEWER: IN 801 (COLUMNS 23) RECORD THE LINE NUMBER FOR EACH CHILD BORN SINCE JANUARY 1995 AND STILL ALIVE. IN 802 AND 803 RECORD THE NAME OF THE RESPONDENT AND ALL HER LIVING CHILDREN BORN SINCE JANUARY 1995, AND THE DATE OF BIRTH OF THE CHILDREN. IN 804 AND 806 RECORD THE HEIGHT AND WEIGHT OF THE RESPONDENT AND LIVING CHILDREN.
(NOTE: IF THERE ARE MORE THAN 2 LIVING CHILDREN BORN SINCE JANUARY 1995, CHECK BOX AND USE ADDITIONAL QUESTIONNAIRE)

[REPEAT QUESTIONS 801-809 FOR RESPONDENT, LAST BIRTH, AND NEXT-TO-LAST BIRTH]

801. LINE NUMBER FROM QUESTION 212
[DO NOT ASK FOR MOST RECENT BIRTH]

Now I would like to ask you some more questions about the health of all your children born in the past five years. (We will talk about one child at a time.)

201) CHECK COLUMN 11. RECORD THE LINE NUMBER AND AGE FOR ALLL ELLIBLE CHILDREN 0-5 YEARS IN QUESTION 202. IF MORE THAN SIX CHILDREN. USE ADDITIONA; QUESTIONAIRE(S). A FINAL OUTCAOME MUST BE RECORDED FOR THE WEIGHT AND HEIGHT MEASUREMENT IN208 AND FOR THE ANEMIA PROCEDURE IN 213

ANSWER 202-213 FOR ALL CHILDREN BETWEEN THE AGES 0-5.

CHECK COLUMNS (8) AND (9): RECORD LINE NUMBER, NAME AND AGE OF WOMEN AGE 15-49 AND ALL CHILDREN UNDER AGE 6.

201) FROM THE LIST OF ELIGIBLE CHILDREN, RECORD THE NAME AND LINE NUMBER IN QUESTION 202 IN THE SAME ORDER THEY APPEAR. IF MORE THAN SIX CHILDREN, USE ADDITIONAL QUESTIONNAIRE(S).

902. LINE NUMBER FROM QUESTION 212
[ONLY CHILDREN BORN SINCE 1991]

36) LINE NUMBER FROM COLUMN 8 FOR WOMEN 15-49/COLUMN 9 FOR CHILDREN UNDER AGE 6

FOR EACH LIVING CHILD BORN SINCE MARCH 1984 (THAT IS TO SAY 3 TO 36 MONTHS OLD) RECORD THE LINE NUMBER, THE BIRTH DATE, THE WEIGHT AND THE HEIGHT.

CHECK COLUMNS (8) AND (9): RECORD THE LINE NUMBER, NAME AND AGE OF ALL OF THE WOMEN 15-49 AND OF ALL OF THE CHILDREN LESS THAN 6.
WOMEN 15-49

INTERVIEWER:
IN 802 (COLUMN 2-4) RECORD THE LINE NUMBER FOR EACH CHILD BORN SINCE JANUARY 1985* AND STILL ALIVE.
IN 803 AND 804 RECORD THE NAME AND BIRTH DATE FOR THE RESPONDENT AND FOR ALL LIVING CHILDREN BORN SINCE JANUARY 1985*.
IN 806 AND 808 RECORD HEIGHT AND WEIGHT OF THE RESPONDENT AND THE LIVING CHILDREN.
(NOTE: ALL RESPONDENTS WITH ONE OR MORE BIRTHS SINCE JANUARY 1985* SHOULD BE WEIGHED AND MEASURED EVEN OF ALL OF THE CHILDREN HAVE DIED. IF THERE ARE MORE THAN 3 LIVING CHILDREN BORN SINCE JANUARY 1985.)

* For fieldwork beginning in 1991, 1992, or 1993, the year should be changed to 1986, 1987, or 1988, respectively.

CHECK COLUMN (9): RECORD THE LINE NUMBER, NAME AND AGE OF ALL CHILDREN UNDER AGE 6.

CHILDREN UNDER AGE 6:

52) LINE NO. FROM COL. (9)

501. CHECK COLUMN 11. RECORD THE LINE NUMBER AND AGE FOR ALL ELIGIBLE CHILDREN 0-5 YEARS IN QUESTION 502. IF MORE THAN SIX CHILDREN, USE ADDITIONAL QUESTIONNAIRE(S). A FINAL OUTCOME MUST BE RECORDED FOR THE WEIGHT AND HEIGHT MEASUREMENT IN 508

902. LINE NO. FROM Q214

36. LINE NUMBER FROM COLUMN (8)

502) LINE NUMBER FROM COLUMN 11
NAME FROM COLUMN 2

902. LINE NUMBER FROM QUESTION 212
[ONLY CHILDREN BORN SINCE 1991]

36) LINE NUMBER FROM COLUMN 8 FOR WOMEN 15-49/COLUMN 9 FOR CHILDREN UNDER AGE 6

801) INTERVIEWER: SEE TABLE 1. FOR EACH LIVING CHILD, BORN SINCE JUNE 1985 (MEANING BETWEEN 0 AND 36 MONTHS), RECORD THE ORDER NUMBER, THE BIRTH DATE, THE WEIGHT AND THE LENGTH.

FIRST AND LAST NAME _________

OBSERVATION

INTERVIEWER: IN 801-803, RECORD THE LINE NUMBERS, NAMES, AND BIRTH DATES OF ALL LIVING CHILDREN BORN SINCE JANUARY 1, 1983 STARTING WITH THE YOUNGEST CHILD. CHECK IN AGE 804 TO IDENTIFY CHILDREN 0-60 MONTHS OF AGE. RECORD WEIGHT AND LENGTH IN 805 AND 806.

801) LINE NUMBER FROM QUESTION 212

[For all living children born since January 1991.]

515) CHECK COLUMN 9. RECORD THE LINE NUMBER AND NAME FOR ALL ELIGIBLE WOMEN IN 516.
IF THERE ARE MORE THAN THREE WOMEN, USE ADDITIONAL QUESTIONNAIRE(S). A FINAL OUTCOME FOR THE ANEMIA TEST PROCEDURE MUST BE RECORDED IN 528 AND FOR THE VITAMIN A TEST PROCEDURE IN 530 FOR EACH ELIGIBLE WOMAN.

IF NO ELIGIBLE WOMEN, TICK HERE AND SKIP TO QUESTION 531.

201) CHECK COLUMN 10 IN HOUSEHOLD SCHEDULE. RECORD THE LINE NUMBER AND NAME FOR ALL ELIGIBLE CHILDREN 0-5 YEARS. IN QUESTION 202. IF MORE THAN THREE CHILDREN, USE ADDITIONAL QUESTIONNAIRE(S).

801) LINE NUMBER FROM 212 ___

IN 1002 (COLUMNS 2-4) RECORD THE LINE NUMBER FOR EACH CHILD BORN SINCE JANUARY 1991 AND STILL ALIVE. IN 1003 AND 1004 RECORD THE NAME AND BIRTH DATE FOR THE RESPONDENT AND FOR ALL LIVING CHILDREN BORN SINCE JANUARY 1991. IN 1006 AND 1008 RECORD HEIGHT AND WEIGHT OF THE RESPONDENT AND THE LIVING CHILDREN. (NOTE: ALL RESPONDENTS WITH ONE OR MORE BIRTHS SINCE JANUARY 1991 SHOULD BE WEIGHED AND MEASURED EVEN IF ALL OF THE CHILDREN HAVE DIED. IF THERE ARE MORE THAN 3 LIVING CHILDREN BORN SINCE JANUARY 1991, USE ADDITIONAL FORMS).

36) LINE NUMBER FROM COLUMN 8 FOR WOMEN 15-49/COLUMN 9 FOR CHILDREN UNDER AGE 6

FOR CHILDREN NOT INCLUDED IN ANY BIRTH HISTORY, ASK DAY, MONTH AND YEAR. FOR ALL OTHER CHILDREN, COMPARE MONTH AND YEAR FROM 215 IN MOTHER'S BIRTH HISTORY AND ASK DAY.